HEAD & NECK SURGICAL ASSOCIATES, PC
NPI 1821153941
Oral & Maxillofacial Surgery in Portland, OR

NPI Status: Active since December 27, 2006

Contact Information

1849 NW KEARNEY ST STE 300
PORTLAND, OR
ZIP 97209
Phone: (503) 224-1371
Fax: (503) 224-0722

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  • Organization
  • Oral & Maxillofacial Surgery
  • Accepts Insurance

About HEAD & NECK SURGICAL ASSOCIATES, PC

This page provides the complete NPI Profile along with additional information for Head & Neck Surgical Associates, Pc, a provider established in Portland, Oregon operating as a Oral & Maxillofacial Surgery. The healthcare provider is registered in the NPI registry with number 1821153941 assigned on December 2006. The practitioner's primary taxonomy code is 204E00000X. The provider is registered as an organization and their NPI record was last updated 4 years ago. Head & Neck Surgical Associates, Pc operates as a multi-specialty business group with one or more individual providers who practice different areas of specialization. The authorized official of this NPI record is Shannon Gresh (Clinic Operations Manager)

NPI
1821153941
Provider Name
HEAD & NECK SURGICAL ASSOCIATES, PC
Entity Type
Organization
Location Address
1849 NW KEARNEY ST STE 300 PORTLAND, OR 97209
Location Phone
(503) 224-1371
Location Fax
(503) 224-0722
Mailing Address
1849 NW KEARNEY ST SUITE 300 PORTLAND, OR 97209
Mailing Phone
(503) 224-1371
Mailing Fax
(503) 224-0722
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
12-27-2006
Last Update Date
05-21-2021
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Oral & Maxillofacial Surgery

Taxonomy Code
204E00000X
Type
Allopathic & Osteopathic Physicians
License State
OR
Taxonomy Description
Oral and maxillofacial surgeons are trained to recognize and treat a wide spectrum of diseases, injuries and defects in the head, neck, face, jaws and the hard and soft tissues of the oral and maxillofacial region. They are also trained to administer anesthesia, and provide care in an office setting. They are trained to treat problems such as the extraction of wisdom teeth, misaligned jaws, tumors and cysts of the jaw and mouth, and to perform dental implant surgery.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1207YX0901XAllopathic & Osteopathic Physicians

Otolaryngology
Otology & Neurotology

(OR)

Group Taxonomy 193200000X MULTI-SPECIALTY GROUP

This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • BridgeSpan Standard Bronze Plan - EPO
  • BridgeSpan Standard Gold Plan - EPO
  • BridgeSpan Standard Silver Plan - EPO
  • Delta Dental EPO - EPO
  • Delta Dental PPO - PPO
  • Delta Dental PPO MAC - PPO
  • Moda Health Affinity Bronze 7750 - EPO
  • Moda Health Affinity Bronze 9000 - EPO
  • Moda Health Affinity Bronze HDHP 7500 - EPO
  • Moda Health Affinity Gold 1000 - EPO
  • Moda Health Affinity Gold 1500 - EPO
  • Moda Health Affinity Gold 250 - EPO
  • Moda Health Affinity Silver 3000 - EPO
  • Moda Health Affinity Silver 3400 - EPO
  • Moda Health Affinity Silver 4500 - EPO
  • Moda Health Affinity Silver 6000 - EPO
  • Bronze Essential 8500 With 4 Copay No Deductible Office Visits Individual and Family Network - EPO
  • Bronze HSA 7000 Individual and Family Network - EPO
  • Gold 2300 Individual and Family Network - EPO
  • Gold 2300 Legacy - EPO
  • Regence Standard Bronze Plan Individual and Family Network - EPO
  • Regence Standard Bronze Plan Legacy - EPO
  • Regence Standard Gold Plan Individual and Family Network - EPO
  • Regence Standard Gold Plan Legacy - EPO
  • Regence Standard Silver Plan Individual and Family Network - EPO
  • Regence Standard Silver Plan Legacy - EPO
  • Smile Now Arizona - No Waiting Period PPO - PPO
  • Smile Now Illinois - No Waiting Period PPO - PPO
  • Smile Now Michigan - No Waiting Period PPO - PPO
  • Smile Now Ohio - No Waiting Period PPO - PPO
  • Smile Now Tennessee - No Waiting Period PPO - PPO
  • Smile Now Texas- No Waiting Period Plan - PPO
  • Smile Now Utah - No Waiting Period PPO - PPO

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

SHANNON GRESH

Authorized Official Title
CLINIC OPERATIONS MANAGER
Authorized Official Phone
(503) 224-1371

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
286589MEDICAID (05)OR 

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1821153941
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
284125698
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 8 + 4 + 1 + 2 + 5 + 6 + 9 + 8 + 24 = 69
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 69 = 11

The NPI number 1821153941 is valid because the calculated check digit 1 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 4 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1356662845DR. BABER NAZIR KHATIB MD, DDS
Individual
Oral & Maxillofacial Surgery1849 NW KEARNEY ST STE 300
PORTLAND, OR 97209
(503) 224-1371
1073928289DR. NADIR ELIAS DMD
Individual
Dentist (Oral and Maxillofacial Surgery)1849 NW KEARNEY ST STE 300
PORTLAND, OR 97209
(503) 783-8544
1861874760DR. LANCE DAVIS THOMPSON MD, DDS
Individual
Oral & Maxillofacial Surgery1849 NW KEARNEY ST STE 300
PORTLAND, OR 97209
(503) 224-1371
1588939961 MARCUS AARON COUEY MD
Individual
Oral & Maxillofacial Surgery1849 NW KEARNEY ST STE 300
PORTLAND, OR 97209
(503) 983-7334

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1821153941, enumerated in the NPI registry as an "organization" on December 27, 2006

The provider is located at 1849 Nw Kearney St Ste 300 Portland, Or 97209 and the phone number is (503) 224-1371

This medical organization specializes in Oral & Maxillofacial Surgery with taxonomy code 204E00000X

The provider might be accepting Accepts: BridgeSpan Health Company, Delta Dental Plan of. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

This NPI record was last updated on December 27, 2006. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.